7/29/2019 Periodontitis mantap

1/7

Periodontitis

Inflammation of thesupporting tissues of the teeth.A destructive change leading

to loss of bone andperiodontal attachment.

Clinical Features of Periodontitis

Fetid odor Itching gums Usually painless Loose teeth Migration of teeth

Gingival bleeding Bluish or red gingiva Pocket Bone loss Attachment loss

Periodontitis

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

1 of 7

7/29/2019 Periodontitis mantap

2/7

Periodontitis Periodontitis

Modes of Progression of Periodontitis

Progressive loss (long period) Random burst (long period) Multiple burst (short period)

Progressive Loss of Clinical Attachment

Random Burst Loss of Clinical Attachment Multiple Burst Loss of Clinical Attachment

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

2 of 7

7/29/2019 Periodontitis mantap

3/7

Classification of Pockets

1. Gingival Pocket2. Periodontal Pocket

Classification of Pockets

Gingival Pocket(Pseudo pocket)(Relative Pocket)

Gingival Pocket Periodontal Pocket(True or Absolute Pocket)

A. Suprabony (supracrestal)

B. Infrabony (subcrestal)

Suprabony Pocket Infrabony Pocket

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

3 of 7

7/29/2019 Periodontitis mantap

4/7

Types of Infrabony Pockets

Threeosseous

walls

Twoosseous

walls

Oneosseous

wall

Fourosseous

walls

One Osseous Wall

Two Osseous Walls Three Osseous Walls

Suprabony Pocket 1. Base of pocket coronal to

crestal bone

Infrabony Pocket 1. Base of pocket apical

to crestal bone

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

4 of 7

7/29/2019 Periodontitis mantap

5/7

Suprabony Pocket 2. Pattern of destruction

horizontalInfrabony Pocket 2. Pattern of destruction

vertical or angular

Suprabony: Horizontal Bone Loss

Infrabony: Vertical Bone Loss Suprabony Pocket3. Transeptal fibers are

horizontal

Infrabony Pocket3. Transeptal fibers are

oblique

Suprabony Pocket

InfrabonyPocket

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

5 of 7

7/29/2019 Periodontitis mantap

6/7

Suprabony Pocket 4. Supracrestal fibers follow

normal bone contour

Infrabony Pocket

4. Supracrestal fibers followangular pattern of osseousdefect

InfrabonyPocket

Periodontal Pocket1. Simple2. Compound3. Complex

SimplePocket

CompoundPocket

ComplexPocket

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

6 of 7

7/29/2019 Periodontitis mantap

7/7

Simple Compound Complex

FurcationInvolvement

Furcation Involvementwith Periodontitis

Mandibular first molarfurcation area

Maxilliary first molarfurcation area

Curet often does not fit intofurcation

Dr. Larry Wolff Periodontology I

Summer Semester, 2009School of Dentistry

University of Minnesota

7 of 7